Type 2 diabetes commonly presents with various skin manifestations, affecting up to 30% of patients and sometimes appearing as the first sign of the condition. These range from strongly associated lesions like diabetic dermopathy to infections exacerbated by poor glycemic control. Strongly Associated Manifestations • Diabetic dermopathy (shin spots): Brown or reddish-brown spots on shins, often scaly initially, causing small dents. • Acanthosis nigricans: Velvety, dark patches in skin folds like